Ewashen Carol, McInnis-Perry Gloria, Murphy Norma
Faculty of Nursing, University of Calgary, 2500 University Dr. N.W., Calgary, AB T2N 1N4, Canada.
Nurs Ethics. 2013 May;20(3):325-35. doi: 10.1177/0969733012462048. Epub 2013 Jan 17.
The main question examined is: How do nurses and other healthcare professionals ensure ethical interprofessional collaboration-in-practice as an everyday practice actuality? Ethical interprofessional collaboration becomes especially relevant and necessary when interprofessional practice decisions are contested. To illustrate, two healthcare scenarios are analyzed through three ethics lenses. Biomedical ethics, relational ethics, and virtue ethics provide different ways of knowing how to be ethical and to act ethically as healthcare professionals. Biomedical ethics focuses on situated, reflective, and nonabsolute principled justification, all things considered; relational ethics on intersubjective, professional, and institutional relations; and virtue ethics on prephilosophical tradition and what it means to be good and to be human embedded in social and political community. Analysis suggests that interprofessional collaboration-in-practice may be more rhetoric than actuality. Key challenges of interprofessional collaboration-in-practice and specific conditions perpetuating dissension and conflict are outlined with specific education and policy recommendations included.
护士和其他医疗保健专业人员如何在日常实践中确保符合伦理的跨专业协作？当跨专业实践决策存在争议时，符合伦理的跨专业协作就变得尤为相关且必要。为了说明这一点，通过三种伦理视角分析了两个医疗场景。生物医学伦理、关系伦理和美德伦理提供了不同的方式，来了解如何作为医疗保健专业人员做到符合伦理并采取符合伦理的行动。生物医学伦理关注在综合考量所有因素的情况下，基于具体情境、反思性且非绝对的原则性论证；关系伦理关注主体间、专业和机构关系；美德伦理关注前哲学传统以及在社会和政治共同体中成为善良之人和真正之人意味着什么。分析表明，跨专业实践协作可能更多是停留在口头上而非实际行动。文中概述了跨专业实践协作的关键挑战以及导致分歧和冲突持续存在的具体情况，并给出了具体的教育和政策建议。
